Organization
DR. FRED PASTOR, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED PASTOR DSW, LCSW, LLC (OWNER)
(973) 584-4050
Entity
Organization
Contact information
Practice address
54 MAIN ST, SUITE 202, SUCCASUNNA, NJ 07876-1400
(973) 584-4050
(973) 598-9296
Mailing address
54 MAIN ST, SUITE 202, SUCCASUNNA, NJ 07876-1400
(973) 584-4050
(973) 598-9296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC0512200
NJ
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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